FABIOLLA SIQUEIRA KOPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000551

License Status

NOT RENEWED

Business

First Name

FABIOLLA

Middle

SIQUEIRA

Last Name

KOPP

Suffix

Business Name

FABIOLLA SIQUEIRA KOPP MD

Original Issue Date

06/01/2013

Effective Date

06/01/2013

Expiration Date

11/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

08/12/2014